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The optimal method of tube feeding for patients with head and neck cancer remains unclear.
Reported risk factors for UE include route of tracheal intubation, method of tube fixation [ 3] and method and level of sedation [ 3, 17].
Force values for tube motion of 2 cm and 5 cm (or failure) were recorded for 3 pull tests, at each angle, for each method of tube fixation.
Standard deviations, which could be used as a measure of fixator reliability, also vary with angle of force application and method of tube restraint.
A recent systematic review concluded that the optimal method of tube feeding remains unclear; however prophylactic gastrostomy, placed in anticipation of its use during and after treatment, is common practice, following a number of demonstrated benefits.
Metheny and Stewart [ 178] also provide additional methods for checking the position of the tube, such as capnography, spring-gauge pressure manometer, enzyme tests (pepsin and trypsin), and bilirubin analysis; however, the most reliable method of tube placement assessment is the radiograph [ 172].
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Moreover: "There are many methods of artificial feeding, but the method of tube-feeding is the only one that merits much attention".
Bodily fluids are present in critical care and emergent situation leading to difficulty when trying to use the more common, traditional methods of tube fixation.
Identification of somatic (O) and flagellar (H) antigens was performed following standard methods of tube agglutination test [ 24] and using currently available O (O1 to O181) and H (H1 to H56) antisera as described elsewhere [ 25].
A method of pressure tube (Pitot's tube) was proposed Shulyupin et al. (2012) as an alternative to the orifice, in which steam flow rate is determined by down-stream dynamic pressure and phase composition is determined by ratio of down-stream and up-stream dynamic pressures.
We report a new method of NG tube insertion using a laryngoscope and endotracheal tube.
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